Repair blood vessel lesion at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$24,970.28
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$24,970.28
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,747.92 with Superior Health Plan vs $30,818.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $1,747.92 | ↓ -93% |
| Superior Health Plan | STARKids | $1,747.92 | ↓ -93% |
| Superior Health Plan | CHIP | $1,747.92 | ↓ -93% |
| Superior Health Plan | STARHealth | $1,747.92 | ↓ -93% |
| Superior Health Plan | STARPLUS | $1,747.92 | ↓ -93% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -92% |
| Aetna | QHPHIX | $2,513.00 | ↓ -90% |
| WellMed | MGMCR | $3,187.73 | ↓ -87% |
| Cigna | IFP | $3,370.99 | ↓ -86% |
| Aetna | NewBusiness | $3,445.00 | ↓ -86% |
| Cigna | QHP | $3,495.84 | ↓ -86% |
| Aetna | COMM | $3,682.00 | ↓ -85% |
| Aetna | Meritain | $3,682.00 | ↓ -85% |
| BCBS | BluePremier | $3,852.08 | ↓ -85% |
| Aetna | OON | $4,332.00 | ↓ -83% |
| United | OptionsPPO | $4,344.83 | ↓ -83% |
| Healthcare Highways | NarrowNetwork | $5,475.00 | ↓ -78% |
| BCBS | BlueAdvantageHMO | $5,597.99 | ↓ -78% |
| BCBS | MyBlueHealth | $5,597.99 | ↓ -78% |
| Curative Administrators | COMM | $5,849.00 | ↓ -77% |
| Evry Health | COMM | $6,054.00 | ↓ -76% |
| BCBS | BlueEssentials | $6,623.36 | ↓ -73% |
| BCBS | BlueEssentialsAccess | $6,623.36 | ↓ -73% |
| Humana | COMM | $6,901.10 | ↓ -72% |
| BCBS | EPOSOA | $6,955.91 | ↓ -72% |
| United | NarrowNetworkIndivExchange | $7,083.00 | ↓ -72% |
| Oscar | HIX | $7,168.00 | ↓ -71% |
| BCBS | PPO | $7,288.47 | ↓ -71% |
| United | SmallGroup | $7,449.00 | ↓ -70% |
| LifeCare Hospitals | MGMCR | $7,491.08 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $7,491.08 | ↓ -70% |
| Healthcare Highways | CityofPlano | $8,439.95 | ↓ -66% |
| Prominence Health Plan | HIX | $9,988.11 | ↓ -60% |
| United | AllPayerAppendix | $10,918.00 | ↓ -56% |
| BCBS | Traditional | $11,086.80 | ↓ -56% |
| City of McKinney | COMM | $11,236.63 | ↓ -55% |
| National ChoiceCare | WCOMP | $12,485.14 | ↓ -50% |
| Aetna | ASA | $13,159.34 | ↓ -47% |
| Rockport Health Group | WORKERSCOMP | $13,733.65 | ↓ -45% |
| Aetna | WCOMP | $13,733.65 | ↓ -45% |
| PC Texas Partners | WCOMP | $13,733.65 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $13,733.65 | ↓ -45% |
| Averde Health, Inc | PPO | $14,482.76 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $15,107.02 | ↓ -39% |
| Aetna Coventry First Health | EXCLUSIVE | $15,107.02 | ↓ -39% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $16,230.68 | ↓ -35% |
| Multiplan PHCS | PrimaryNetwork | $17,479.20 | ↓ -30% |
| Mega Life | MGMCRPPO | $17,479.20 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $17,479.20 | ↓ -30% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $18,727.71 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $18,727.71 | ↓ -25% |
| USC Health Services | COMM | $19,976.22 | ↓ -20% |
| USA Managed Care | COMM | $19,976.22 | ↓ -20% |
| Galaxy Health Network | PPO | $21,224.74 | ↓ -15% |
| Cigna | LocalPlus | $21,804.00 | ↓ -13% |
| Cigna | NewBusiness | $21,826.00 | ↓ -13% |
| Cigna | HMO | $24,362.00 | ↓ -2% |
| Cigna | OpenAccessPlus | $24,362.00 | ↓ -2% |
| Cigna | NetworkBenefit | $24,362.00 | ↓ -2% |
| Unicare | MCD | $24,970.28 | ↑ +0% |
| Independent Medical Systems | COMM | $24,970.28 | ↑ +0% |
| National Healthcare Solutions | COMM | $24,970.28 | ↑ +0% |
| Cigna | AllOther | $30,818.00 | ↑ +23% |
Visitor-reported prices
Comments
Repair blood vessel lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $16,212.44 | $3,171.87 – $9,098.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $3,464.10 – $4,826.69 |
| CHRISTUS Children's Hospital | San Antonio | not published | $7,184.00 – $7,184.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $3,013.28 – $7,896.23 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,434.05 – $4,434.05 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,681.12 – $5,681.12 |
| Covenant Children's Hospital | Lubbock | not published | $2,951.58 – $5,902.83 |
| HCA HOUSTON CONROE | CONROE | not published | $3,187.73 – $4,822.03 |